Most Relevant Information
Provider Data
| NPI Number: | 1003286741 |
| Provider Name: | CARLIE BOULDIN MS, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 3847 |
Most Important Dates
| Enumeration Date: | 10/06/2015 |
| Last Updated: | 10/06/2015 |
Provider Practice Location
500 SPANISH FORT BLVD
SPANISH FORT
AL
365275018
Practice Location Phone/Fax
| Phone: | 2516268526 |
| Fax: | 2516264878 |
Provider Mailing Location
245 CAHABA VALLEY PKWY
STE. 200
PELHAM
AL
351242216
Provider Mailing Phone/Fax
| Phone: | 2059426820 |
| Fax: | 2053147222 |